ALL JAPAN HOSPITAL ASSOCIATION 全日 本 病 院 協会 公益社団法人 入 会 の し お り

Transcription

1 ALL JAPAN HOSPITAL ASSOCIATION 公益社団法人 全日 本 病 院 協会 入 会 の し お り

2 1. Mission of the All Japan Hospital Association The All Japan Hospital Association (AJHA) is dedicated to improve the quality of hospital managements and the health and welfare of the society by offering high quality, effective and valuable healthcare service. 2

3 2. Greeting message from the President The AJHA, a nationwide hospital association, was established in Nowadays it represents about 2,200 member hospitals, most of which are private hospitals. Healthcare is one of the most important public issues related directly to the health and living of individuals and communities. Lately the public is paying more and more attention to healthcare, and in order to respond to these expectations the AJHA thinks it important to establish a healthcare system where healthcare staff can take pride in providing credible and capable healthcare services to public. The Japanese society is experiencing rapid aging and financial problems. A healthcare reform lead by the government focuses mostly on financial aspects. But what Japanese people really want are safe, equal and quality healthcare services and information, which enables them to choose healthcare services rationally, although they stay anxious about the increase of medical and long-term care costs. Healthcare staff in practice demands that the reform should pay more attention to the actual situation of healthcare provision, regional differences and the establishment of a fair reimbursement system. No one is satisfied with the present reform. In these rapidly changing circumstances, the AJHA researches what hospitals and healthcare providing systems ought to be to establish a healthcare system, which can satisfy both, the Japanese people and the healthcare providing staff. The results of the discussion were released as a series of publications. The AJHA is willing to solve major challenges to contribute to quality and sound management of member hospitals. Without understanding and support from the public, even a good idea cannot be realized. To gather correct data, to report evidence-based recommendation and to meet expectations support from the people is essential. The AJHA is an organization dedicated to the quality healthcare for the Japanese people. President Hirotoshi NISHIZAWA, M.D. 3

4 3. History 1960 Establishment of AJHA in Osaka Dr. Yoshio OZASA elected as 1 st president 1960 Certification as a non-profit organization st All Japan Hospital Management Conference 1964 Publication of the Journal of All Japan Hospital Management 1969 Publication of the All Japan Hospital Association News 1976 Dr. Shinichiro KIKUCHI elected as 2 nd president 1983 Dr. Jisuke KINOSHITA elected as 3 rd president 1987 Dr. Takamasa TAMAKI elected as 4 th president th anniversary 1992 Dr. Hiroshi HIDESHIMA elected as 5 th president 1999 Dr. Hidetatsu SASSA elected as 6 th president th anniversary 2007 Dr. Hirotoshi NISHIZAWA elected as 7 th president 4. Member hospitals The number of AJHA member hospitals has increased steadily, although the total number of hospitals in Japan decreased. In October 2008, the AJHA covered 2,258 member hospitals, 25.6% of all hospitals in Japan. Most member hospitals (99%) are private hospitals. The AJHA is the biggest and most influential private hospital association in Japan Member hospitals All Hospitals Figure1: Trend of member hospitals of the AJHA

5 5. Organization of the AJHA Board meetings are the supreme decision-making organization of the AJHA. There are 19 committees supporting the board. A list of the committees is shown below. In 2009 the AJHA General Research Institute was established to further enhance the function of all committees. (List of Committees) General Affairs Finance Regulations Future Planning Public Relations Future of Hospitals Healthcare Providing System and Taxation Health Insurance and Reimbursement Healthcare Improvement Long-term Care Human Resources Patient Safety Hospital Accreditation Art and Science Emergency Medicine and Disaster Damage Prevention International Exchange Physical Checkup Examination and Accreditation of Medical Administrators Personal Information Protection 5

6 6. Major Activities of the AJHA 1) Survey and Research The AJHA historically emphasizes survey and research activities. (1) Committee on the Future of Hospitals The Committee on the Future of Hospitals is composed of the chairpersons of all committees and mainly discusses how the healthcare system and hospitals in Japan ought to be. The results of these discussions are summarized every 2 years in the publication called What hospitals ought to be- Report of the Committee on the Future of Hospitals. These reports describe the direction and activities expected of each committee in the following 2 years. In 2008 the report was rewritten and published as On medical care and long-term care in Japan-A message from the AJHA Committee on the Future of Hospitals to the Japanese people, 2008 so that the general public had access to the information as well. Figure 2: What hospitals ought to be- Report of the Committee on the Future of Hospitals, 2007 (left) and On medical care and long-term care in Japan-A message from the AJHA Committee on the Future of Hospitals to the Japanese people, 2008 (right) (2) Survey on hospital management Since 1993 a yearly survey on hospital management is conducted to clarify the present condition of hospital managements such as utilization, revenue and profit margins. Data of 500 hospitals 6

7 are included in these surveys. The results are available to the public on the AJHA website and are used in the discussion with the Chu-I-Kyo (National Committee on Revision of Reimbursement Tariff). Figure3: Policy planning and proposal at Ministry of Health, Labor and Welfare (3) Clinical Outcome Evaluation Project (COEP) and International Quality Indicator Project (IQIP) The COEP is a research project to measure the performance of hospitals using clinical indicators. It was introduced in 2000 and there are currently about 30 hospitals participating in the project. In of those hospitals participated in the IQIP, an international project by the Center for Performance Sciences to measure performance. Since most acute care hospitals are reimbursed by the Diagnosis Procedure Combination (DPC), the COEP will be combined with the Medi-Target project in (4) Medi-Target Project (benchmark using DPC data) The DPC is a combination of fixed and fee-for-service payments developed and first introduced in Japan. Currently about 700 acute care hospitals are reimbursed by DPC and 700 other hospitals are preparing to participate in the future. The DPC requires hospitals to submit claim data electronically. The Medi-Target Project is a benchmark using DPC data. In 2009 this benchmark project, focusing on claim data, will be merged with the COEP with an emphasis on clinical outcomes. (5) Other activities The AJHA sends delegations overseas to South Korea, the Unites States, Australia and other countries every year. Representative international leaders in healthcare and health policies are also invited to Japan regularly. 7

8 (6) Research grant So far the AJHA has received several research grants from the Japanese government. Some are listed below: (Ministry of Health, Labor and Welfare) Research on Healthcare Providing Systems Introduction of electronic medical recording system and development of standard work flow Performance measurement of healthcare, based on patient case-mix and cost analysis 2005 Responses and solutions regarding medical incidents at hospitals Evaluation of safety and quality of healthcare, using the hospital information system and work flow analysis Development of an outcome evaluation model to improve quality of healthcare (Ministry of Economy, Trade and Industry) Demonstration of mutual usability of hospital information systems Development of educational programs for hospital managers 2007 Effective hospital management by introducing a facility management system 2) Education Human resources are a very important part of any hospital management. The AJHA offers a variety of education programs to its member hospitals organized for the different management levels, professions and activities. The list below shows examples of the programs: Top Managers Managers Nursing Managers 8

9 Safety and Risk Managers Supervising of clinical training Annual check-ups and health consultations Personal Information and Information Officers Prevention of disaster damage Figure4: Education courses for Nursing Managers(left), and for Managers(right) 3) Public Relations To provide appropriate information timely, the AJHA publishes the newsletter AJHA News to its member hospitals every 2 weeks and maintains its own website: Figure5: AJHA News(left), and AJHA homepage(right) 4) Policy Planning and Proposal Based on the activities of its committees the AJHA plans and 9

10 proposes health policies, some of which are listed below: (1) Health Sector Reform (2) Revision of Reimbursement Scheme (3) Long-term Insurance (4) Taxation of Hospitals (5) Patient Safety Issues (6) Guidelines on End of Life Treatment 5) Personal Information Protection In 2006 the AJHA was the first organization in the area of healthcare to be certified as a certified organization for the protection of personal information under the Personal Information Protection Law of 2005 by the Ministry of Health, Labor and Welfare. The AJHA is engaged in (1) provision of information to and education of member hospitals, (2) consultation of member hospitals and patients, (3) survey and research activities regarding personal information protection. In 2008 the AJHA, on behalf of the healthcare field, was invited to a public hearing organized by the cabinet office on the activities relating to personal information protection. 7. List of publications The attached list shows recent publications of the AJHA. The publications report on the different activities and study results of the AJHA committees. Clinical Paths (Concept, Practice), 2000 Standard Manual for Medical Recording, 2001 Standard Manual for Medical Recording and Management, 2004 Prevention and Countermeasure against Workplace Violence, 2005 Electronic Medical Recording and Business Renovation, 2005 Personal Information Protection Law - Q&A from healthcare staff, 2006 Introduction of a Hospital Information System,

11 What hospitals ought to be - Report of the Committee on the Future of Hospitals, 2007 On medical care and long-term care in Japan -A message from the AJHA Committee on the Future of Hospitals to the Japanese people, 2008 Figure6: Recent Publications 1 11

12 Tokyo Metro Mita Line Suidobashi-station A1 exit JR Suidobashi-station East exit Tokyo Dental College Suidobashi Hospital Hotel Niwa Tokyo All Japan Hospital Association Address: F Sarugaku-cho, Chiyoda-ku, Tokyo TEL: FAX: URL Access: 4 minutes walk from JR and Tokyo Metro Mita Line Suidobashi-station, East exit. 8 minutes walk from Tokyo Metro Hanzomon Line,Toei Shinjuku Line and Mita Line, Jinbocho-station minutes walk from JR Ochanomizu-station 12